ICD-10: CMS Announces Another Successful End-to-End Testing Week

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  • September 9, 2015
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ICD-10: CMS Announces Another Successful End-to-End Testing Week

The Centers for Medicare & Medicaid Services (CMS) released information on the final end-to-end testing week held July 20-24, 2015. Approximately 1,200 Medicare Fee-For-Service health care providers, billing agencies, and clearinghouses participated with approximately 1,400 National Provider Identifiers (NPIs) registered to test. Twelve percent (174 testers) were repeat testers from previous testing weeks. Many new providers were chosen to test in this final phase. Over half (52.7 percent) of the claims were Professional in nature, 40.9 percent were Institutional, and just over 5 (6.4 percent) were supplier generated.
Other particulars include:

  • 29,286 test claims were received
  • 25,646 claims were accepted
  • 87 percent acceptance rate (some testers may have performed negative testing – submitting claims with errors to see if it would reject)
  • Only 1.8 percent were rejected due to invalid submission of ICD-10 diagnosis or procedure codes
  • 6 percent were rejected due to invalid submission of ICD-9 diagnosis or procedure codes
  • Additional rejections were due to non-ICD-10 coding related errors (invalid NPI numbers, out-of-service date ranges, etc)
  • No new ICD-10 related issues were found in this testing
  • There were no rejections due to front-end CMS system issues

CMS states this indicates they are fully ready to accept claims in ICD-10 Oct. 1, 2015.

Rhonda Buckholtz

About Has 37 Posts

Rhonda Buckholtz, CPC, CPMA, CRC, CDEO, CMPE, CHC, COPC, AAPC Approved Instructor, is owner of Coding and Reimbursement Experts. She spends her time helping physician practices achieve operational excellence, compliance, education, and Lean Six Sigma through her consulting. Buckholtz has more than 30 years of experience in healthcare management, compliance, and reimbursement/coding sectors. She was responsible for all ICD-10 training and curriculum at AAPC during the transition from ICD-9. Buckholtz has authored numerous articles for healthcare publications and she has spoken at numerous national conferences for AAPC and others. She is past co-chair for the WEDI ICD-10 Implementation Workgroup, Advanced Payment Models Workgroup, and she provided testimony for ICD-10 and standardization of data for National Committee on Vital and Health Statistics. Buckholtz is on AAPC’s National Advisory Board.

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